@article{0e0f7e06c53c40cba49aaea88890c7c2,
title = "Exploring perceived effects from loss of PEPFAR support for outreach in Kenya and Uganda",
abstract = "Introduction: In 2015, the President{\textquoteright}s Emergency Plan for AIDS Relief undertook policy shifts to increase efficiencies in its programming, including transitioning HIV/AIDS funding away from low burden areas. We examine the impact of these changes on HIV outreach in Kenya and Uganda. Methods: Qualitative data collection was conducted as a part of a broader mixed-methods evaluation. Two rounds of facility-level case studies and national-level interviews were conducted in Kenya and Uganda, with health facility, sub-national and central Ministry of Health staff, HIV clients, and implementing partners. Results: In both countries, the loss of outreach support affected community-based HIV/AIDS education, testing, peer support, and defaulter tracing. Discussion: Loss of external support for outreach raises concerns for countries{\textquoteright} ability to reach the 90–90-90 UNAIDS target, as key linkages between vulnerable communities and health systems can be adversely affected. Conclusion: Development partners should consider how to mitigate potential consequences of transition policies to prevent negative effects at the community level.",
keywords = "Community outreach, Donor transition, HIV/AIDS, Health systems, Kenya, PEPFAR, Uganda",
author = "Mary Qiu and Ligia Paina and Rodr{\'i}guez, {Daniela C.} and Wilhelm, {Jess A.} and Ezinne Eze-Ajoku and Alexandra Searle and Henry Zakumumpa and Freddie Ssengooba and Caroline MacKenzie and Sara Bennett",
note = "Funding Information: The authors would like to gratefully acknowledge the following individuals for their contributions to this study: Moses Mukuru and Robinah Komuhendo for their efforts in data collection in Uganda, Dr. Timothy Roberton for his support in survey development, Dr. Antonio J. Trujillo and Dr. Diwakar Mohan for technical input and expertise, and support during training, and all field staff who spent many days conducting data collection. We would also like to acknowledge the Ministry of Health officials and USAID officials in both countries, along with all respondents who generously gave their time. Lastly, we would like to acknowledge Population Council and USAID for their support and leadership in this study. The contents of this paper are the sole responsibility of the authors and do not necessarily reflect the views of PEPFAR, USAID, or the United States Government. Funding Information: Funding was provided by Project SOAR through Cooperative Agreement AID-OAA-140060, through the generous support of the United States Agency for International Development (USAID). Publisher Copyright: {\textcopyright} 2021, The Author(s).",
year = "2021",
month = dec,
doi = "10.1186/s12992-021-00729-w",
language = "English (US)",
volume = "17",
journal = "Globalization and health",
issn = "1744-8603",
publisher = "BioMed Central",
number = "1",
}